HIM Audit Coordinator

## HIM Audit Coordinator Apply:
Lowell General Hospital:
Full time:
Posted Today:
R26511
*
* Hours:

** 40 hours per week; M-F from 8:00 AM to 4:30 PM
*
* Location:

** Onsite at Lowell General Hospital - Main Campus. Hybrid schedule may be available at the discretion of your manager after training.  
** Job Profile Summary
** This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.  In addition, this role focuses on performing the following Health Information Management duties:
Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.  An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment.  The majority of time is spent in the delivery of support services or activities, typically under supervision.  

An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.  Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation from standard procedures, and communicates information that requires some explanation or interpretation.  
** Job Overview
** The position is responsible for processing and managing medical record requests from payors, external auditors, and review agencies—including RAC, Blue Cross, and Permedion. Working under the general supervision of the HIM Manager of ROI and Document Management, this role ensures that all requests are handled accurately, efficiently, and in full compliance with HIPAA and all applicable facility, state, and federal regulations.

The position uses Epic’s Release of Information (ROI) functionality to log, track, and process audit and review requests received via fax (Vyne/Trace), mail, or email. Based on chart type and request category, the coordinator determines whether requests should be routed to Sharecare or processed internally. For requests handled by HIM, the Coordinator retrieves required documentation from Epic and, when necessary, from third‐party EMRs such as Aria, Mosaic, or Restorix.

** Job Description
***
* Minimum Qualifications:

** 1. High school diploma or equivalent
2. Two (2) years of office-related experience.  
*
* Preferred Qualifications:

** 1. Experience in EPIC EMR system
2. Experience performing Release of Information functions
2. Experience using digital imaging/scanning software and equipment  
*
* Duties and Responsibilities:

** The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.  
1. Monitors, tracks, and completes requests for medical records from external auditors and reviewers; including, but not limited to RAC, Blue Cross, Permedion audits, etc.
2. Logs all requests into the EPIC/ ROI system, following established procedures, and updates the request upon completion.
3.  Communicates with external auditors to ensure timely submission of required documentation.
4.  Retrieves and compiles all required paper and electronic documents, including those needed from Ancillary departments. Export EMR content to a PDF and submit via secure record portals, secure fax/email, or on rare instances, will upload the PDF to an encrypted CD and send via Fed Ex
5. Prioritizes, organizes, and processes audits requests, coordinating with the Business Office (PFS) staff to identify documentation needed to substantiate claims.
6.  Assists patients with medical record requests…